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社会医学与拉丁美洲的国际专家网络,1930-1945 年。

Social medicine and international expert networks in Latin America, 1930-1945.

机构信息

a Geography Department , Macalester College , St. Paul , MN , USA.

出版信息

Glob Public Health. 2019 Jun-Jul;14(6-7):791-802. doi: 10.1080/17441692.2017.1418902. Epub 2018 Jan 3.

Abstract

This paper examines the international networks that influenced ideas and policy in social medicine in the 1930s and 1940s in Latin America, focusing on institutional networks organised by the League of Nations Health Organization, the International Labour Organization, and the Pan-American Sanitary Bureau. After examining the architecture of these networks, this paper traces their influence on social and health policy in two policy domains: social security and nutrition. Closer scrutiny of a series of international conferences and local media accounts of them reveals that international networks were not just 'conveyor belts' for policy ideas from the industrialised countries of the US and Europe into Latin America; rather, there was often contentious debate over the relevance and appropriateness of health and social policy models in the Latin American context. Recognition of difference between Latin America and the global economic core regions was a key impetus for seeking 'national solutions to national problems' in countries like Argentina and Chile, even as integration into these networks provided progressive doctors, scientists, and other intellectuals important international support for local political reforms.

摘要

本文考察了 20 世纪 30 年代和 40 年代拉丁美洲社会医学中影响观念和政策的国际网络,重点关注由国际联盟卫生组织、国际劳工组织和泛美卫生局组织的机构网络。在考察这些网络的结构之后,本文追溯了它们在两个政策领域——社会保障和营养——对社会和卫生政策的影响。对一系列国际会议的更仔细审查以及对这些会议的当地媒体报道揭示出,国际网络不仅仅是将政策思想从美国和欧洲等工业化国家“输送”到拉丁美洲的“输送带”;相反,对于在拉丁美洲背景下卫生和社会政策模式的相关性和适当性,经常存在有争议的辩论。认识到拉丁美洲与全球经济核心区域之间的差异,是阿根廷和智利等国家寻求“用国家办法解决国家问题”的一个关键推动力,尽管融入这些网络为当地政治改革提供了进步的医生、科学家和其他知识分子的重要国际支持。

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